MEDICARE: SAN SIMEON EMS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1306175989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN SIMEON EMS INC

Provider Business Mailing Address
First Line	:	10515 SW FWY
Second Line	:	E6
City	:	HOUSTON
State	:	TX
Zip	:	77074-1127
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:	281-277-0307

Provider Business Practice Location Address
First Line	:	10515 SW FWY
Second Line	:	E6
City	:	HOUSTON
State	:	TX
Zip	:	77074-1127
Country	:	US
Telephone Number	:	202-390-7520
Fax Number	:	281-277-0307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	UCHENNA OJIAKU
Credential	:
Telephone Number	:	202-390-7520

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	12/10/2009

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Directions to “SAN SIMEON EMS INC ” Practice Location

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